Which should be considered a contraindication for transcervical ...

[schs14]

Which should be considered a contraindication for transcervical chorionic villus sampling?
 
  a. Rh-negative mother
  b. Gestation less than 15 weeks
  c. Maternal age younger than 35 years
  d. Positive for group B Streptococcus

Question 2

Which nursing intervention is necessary prior to a second-trimester transabdominal ultrasound?
 
  a. Perform an abdominal prep.
  b. Administer a soap suds enema.
  c. Ensure the client is NPO for 12 hours.
  d. Instruct the client to drink 1 to 2 quarts of water.

[pocatato]

Answer to Question 1

ANS: D
Maternal infection is a risk with this procedure, and it is contraindicated if the client has an active infection in the cervix, vagina, or pelvic area. This procedure is done between 10 and 12 weeks. This procedure is usually done for women older than 35; however, if the woman is at high risk for fetal anomalies, her age is not a contraindication. The procedure can still be performed; however, Rh sensitization may occur if the mother is Rh-negative. Rho(D) immune globulin can be administered following the procedure.

Answer to Question 2

ANS: D
When the uterus is still in the pelvis, visualization may be difficult. It is necessary to perform the test when the woman has a full bladder, which provides a window through which the uterus and its contents can be viewed. An abdominal prep is not necessary for this procedure. A soap suds enema is not necessary for this procedure. The client needs a full bladder to elevate the uterus; therefore, being NPO would not be appropriate.

[schs14]

Excellent

[alvinum]

TYSM